Raynauds

Question 1

What is the difference between Raynauds disease and Raynauds phenomenon?

Answer 1

Disease = primary,
Phenomenon = secondary
Both are characterised by exaggerated vasoconstriction of the digital arteries and cutaneous arterioles to cold or emotional stress.

Question 2

What are the key features of Raynauds disease?

Answer 2

Young women (30yrs)
Bilateral

Question 3

What are the secondary causes of Raynauds phenomenon?

Answer 3

Connective tissue disorders
Leukemia
Type 1 cryoglobulinaemia
Use of vibrating tools
Drugs - COCP, ergot
Cervical rib.

Question 4

What is the recommended treatment for Raynauds?

Answer 4

If suspected secondary cause - refer to secondary care
Primary = nifedpine (CCB) or IV prostacyclin (epoprostenol) which will last weeks to months.